SPRHA122R0177_______0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

J

2. AMENDMENT/MODIFICATION NO.

SPRHA1-22-R-0177-0001

3. EFFECTIVE DATE

26 OCT 2022

4. REQUISITION/PURCHASE REQ. NO.

FD20202200177 01

5. PROJECT NO (If applicable)

6. ISSUED BY CODE

DLA AVIATION - OGDEN, DLR PROCUREMENT OPS/AUB

6051 GUM LANE BLDG 1225

HILL AIR FORCE BASE UT 84056-5820

BUYER: Michelle C. Love/DLA michelle.love.1@us.af.mil Phone: (385) 519- 8150

7. ADMINISTERED BY (If other than item 6) CODESPRHA1

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

X

9A. AMENDMENT OF SOLICITATION NO.

SPRHA122R0177

9B. DATED (SEE ITEM 11)

29-AUG-2022

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods. ( a ) By completing Items 8 and 15, and returning copies of the amendment; ( b ) By acknowledging receipt of this amendment on each copy of the offer submitted; or ( c ) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 18-NOV-2022 12:00 PM

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

FMS REQUIREMENT

ROUTINE

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

BY ________________________________________________________

(Signature of person authorized to sign)

15C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16B. UNITED STATES OF AMERICA

BY ____________________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

FACILITY CODE

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

PRESCRIBED BY GSA

FAR (48 CFR) 53.243

X

X X

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

SPRHA1-22-R-0177-0001

Continuation of block 14. DESCRIPTION OF AMENDMENT/MODIFICATION

The purpose of this amendment is to add CLIN 0004 with a quantity of 7 each.

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0001 AA

NSN: 2835-01-208-0169 RP

GEARBOX,ACCESSORY D

Secondary power, starts engine, then runs accessories.

Magnesium, steel, brass, rubber and aluminum Manufacturer Part Number 3Y015 5007076B

9009H 2835PL0664313

99167 5007076B Associated Document(s) Line Item(s)

FD20202200177 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below. (if more than one, check the appropriate standard.)

Foreign Military Sales :FMS Case:BA-D-SAB Buy American Act/Balance of Payments Program IUID Required: Yes Physical Item Markings:

Serial Number Required

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBA003 ORIGIN

Class I ODS Substance Application/Use Quantity None None none Type / Ship To PACRN Mark For

* DBA003 PAB DBAA00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DBA003 2 EA 8 AUG 2023 DBAA5401675100 / PRI: 5

Proposed Delivery

* DBA003 2 EA

TAC CODE DFMS.

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 EA

CLIN ACRN ACRN Total

0002 AB

NSN: 2835-01-208-0169 RP

GEARBOX,ACCESSORY D

Manufacturer Part Number 3Y015 5007076B

9009H 2835PL0664313

99167 5007076B Associated Document(s) Line Item(s)

FD20202200177 01 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:BU-D-SAB Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DBU002 ORIGIN

Type / Ship To PACRN Mark For

* DBU002 PAB DBUE00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DBU002 1 EA 8 AUG 2023 DBUE5411725130 / PRI: 5

Proposed Delivery

* DBU002 1 EA

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA

CLIN ACRN ACRN Total

0003 AD

NSN: 2835-01-208-0169 RP

GEARBOX,ACCESSORY D

Manufacturer Part Number 3Y015 5007076B

9009H 2835PL0664313

99167 5007076B Associated Document(s) Line Item(s)

FD20202200177 01 0003

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:PL-D-QAW Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DPL002 ORIGIN

Type / Ship To PACRN Mark For

* DPL002 PAC DPLW00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DPL002 2 EA 8 AUG 2023 DPLW5Z20415503 / PRI: 5

Proposed Delivery

* DPL002 2 EA

Firm Fixed Price Quantity U/I Unit Price Amount

7 EA

CLIN ACRN ACRN Total

0004 AF

NSN: 2835-01-208-0169 RP

GEARBOX,ACCESSORY D

Manufacturer Part Number 3Y015 5007076B

9009H 2835PL0664313

99167 5007076B Associated Document(s) Line Item(s)

FD20202200177 01 0004

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales :FMS Case:TW-D-SAD Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DTW004 ORIGIN

Type / Ship To PACRN Mark For

* DTW004 PAA DTW400

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DTW004 7 EA 13 SEP 2025 DTW45422705102 / PRI: 5

Proposed Delivery

* DTW004 7 EA

TAC DFMS.

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DBA003

SUPPLEMENTAL ADDRESS CODE: DA3SAB

FMS CASE CODE/LOA: BA-D-SAB/028

MAPAC SHIP TO CODE: DBA003

MAPAC MARK FOR: DBAA00

REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: * DBU002

SUPPLEMENTAL ADDRESS CODE: DA2SAB

FMS CASE CODE/LOA: BU-D-SAB/056

MAPAC SHIP TO CODE: DBU002

MAPAC MARK FOR: DBUE00

REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: * DPL002

SUPPLEMENTAL ADDRESS CODE: DA2QAW

FMS CASE CODE/LOA: PL-D-QAW/008

MAPAC SHIP TO CODE: DPL002

MAPAC MARK FOR: DPLW00

REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

TYPE/CODE: * DTW004

SUPPLEMENTAL ADDRESS CODE: DA4SAD

FMS CASE CODE/LOA: TW-D-SAD/045

MAPAC SHIP TO CODE: DTW004

MAPAC MARK FOR: DTW400

REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER:

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 9711X8242 0002 4F X LC SH CSABBA 000000 00000 028000 503000 F03000 $0.00

PSR: 289823 FSR: 085516 DSR: 190597 CIN: F2DCCW2222A1010000AA

AB 9711X8242 0002 4F X LC SH CSABBU 000000 00000 056000 503000 F03000 $0.00

PSR: E17405 FSR: 083782 DSR: 191240 CIN: F2DCCW2222A1010000AB

AD 9711X8242 0002 4F X LC SH CQAWPL 000000 00000 008000 503000 F03000 $0.00

PSR: I59449 FSR: 085609 DSR: 191217 CIN: F2DCCW2222A1010000AD

AF 9711X8242 0002 4F X LC SH CSADTW 000000 00000 045000 503000 F03000 $0.00

PSR: F41797 FSR: 030855 DSR: 124348 CIN: F2DCCW2222A1010000AF

ACRN TOTAL $ 0.00

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI "TAA" is for the same line item(s) as ACRN "AA".

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT BILL OF

LADING IS AUTHORIZED

TAI ATAC FMS ALLOTMENT / NOTE

TAA

TAB

TAD

TAF

DFMS 97-11X8242.L009 8401 BA-D-SAB S843000

97-11X8242.L009 8401 BU-D-SAB S843000

97-11X8242.L009 8401 PL-D-QAW S843000

97-11X8242.L009 8401 TW-D-SAD S843000